Scottish Government

Tony Homer Consulting, With Paula Gilder Consulting
ISBN 978 0 7559 7125 1
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CONTENTS

GLOSSARY OF TERMS

EXECUTIVE SUMMARY

1. INTRODUCTION
BACKGROUND
REVIEW SPECIFICATION
ACKNOWLEDGEMENTS

2. METHOD
APPROACH AND KEY ELEMENTS

3. CLIENT SAMPLE AND TERMINOLOGY
CLIENT SAMPLE PROFILE
TERMINOLOGY

4. CLIENTS' AND CARERS' EXPERIENCES OF SDS
FLEXIBILITY, CHOICE, CONTROL AND INDEPENDENCE
HEALTH SUPPORT WITHIN NORMAL LIFE SETTINGS
QUALITY OF CARE
THE VALUE OF HOLISTIC PACKAGES
VARIED LIFESTYLES
FAMILY
CARER'S PERSPECTIVE
CHALLENGES

5. LOCAL AUTHORITY APPROACHES TO SDS
NATIONAL GUIDELINES
UPTAKE AND VALUE OF DIRECT PAYMENTS
SCOTTISH BORDERS COUNCIL
CITY OF EDINBURGH COUNCIL
FIFE COUNCIL

6. THE IMPACT OF MEASURES TO PROMOTE AND SUPPORT SDS
ACCESS TO SDS
THE ADMINISTRATION OF SDS FUNDING
MANAGING SDS PACKAGES
KEY IMPACTS BY LOCAL AUTHORITY AREA
DIFFERENT PERSPECTIVES

7. KEY FINDINGS AND CONCLUSIONS
POSITIVE OUTCOMES FOR CLIENTS
ISSUES, BARRIERS AND ENABLERS TO FURTHER DEVELOPMENT

ANNEX ONE: CLIENT SELECTION MATRIX

ANNEX TWO: CLIENT INTERVIEW SCHEDULE

ANNEX THREE: THE CASE STUDIES

ANNEX FOUR: LIFESTYLE AND NEEDS PROFILES

ANNEX FIVE: ARRANGEMENTS IN LOCAL AUTHORITIES
SCOTTISH BORDERS COUNCIL
CITY OF EDINBURGH COUNCIL
FIFE COUNCIL

LIST OF TABLES AND FIGURES
TABLE 3.1 AGE PROFILE OF SAMPLE
TABLE 3.2 NUMBER OF FUNDING STREAMS RECEIVED BY CLIENTS
TABLE 3.3 NUMBER OF CLIENTS RECEIVING EACH FUNDING STREAMS
TABLE 3.4 RANGE OF NEEDS IN STUDY SAMPLE
TABLE 5.1 THE SCALE OF DIRECT PAYMENTS IN THE 3 FIELDWORK SITES
FIGURE 5.1 INDEXED GROWTH IN VALUE OF DIRECT PAYMENTS 2001 TO 2007

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.